Please provide the following materials related to your participation in the Women's Health CES activity. Presenter First Name * Presenter Last Name * Presenter Image/Headshot We have an image from your organization website. You may provide an alternate image if preferred.Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Completed Disclosure Form Completed form may also be emailed to Bethany.severson@optumhealtheducation.comFiles must be less than 1 GB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Provide a brief narrative biography Bio may also be emailed to Bethany.severson@optumhealtheducation.comFiles must be less than 1 GB.Allowed file types: txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Narrative Bio (Copy/Paste Option) You may also paste your narrative bio here. OptumHealth Education may post a PDF copy of my presentation on the activity website. * Yes No OptumHealth Education may record my presentation for use as an on demand accredited activity. * Yes No Comments or Questions for OptumHealth Education Leave this field blank